VC酸刺激在脑卒中吞咽障碍康复中的作用

Role of Vitamin C Stimulation in Rehabilitation of Dysphagia After Stroke

目的分析VC酸刺激在脑卒中吞咽障碍患者康复过程中的作用及对卒中相关性肺炎预防的效果观察。方法筛选本院120例脑卒中吞咽障碍患者,随机分为常规组与试验组,每组各60例,常规组实施常规吞咽训练和冷刺激,试验组实施常规吞咽训练和VC酸刺激,对比两组患者的洼田氏饮水试验结果及卒中相关性肺炎的发生率。结果试验组患者干预后的洼田氏饮水试验结果优于常规组,差异有统计学意义(P <0.05)。试验组的EAT-10吞咽调查量表评分低于常规组,差异有统计学意义(P <0.05)。试验组的肿瘤坏死因子α、C反应蛋白及白介素6水平均低于常规组,差异有统计学意义(P <0.05)。试验组的卒中相关性肺炎发生率(8.3%)低于常规组(21.7%),差异有统计学意义(P <0.05)。结论 VC酸刺激在脑卒中吞咽障碍患者康复过程中可明显提高患者的吞咽功能,同时可降低卒中相关性肺炎的发生率。

Objective To analyze the vitamin C stimulation of stroke patients with dysphagia and the clinical effect of prevention of stroke associated pneumonia.Methods 120 patients with dysphagia of stroke in our hospital were selected and divided into routine group and experimental group,60 cases in each group.The conventional group was given routine swallowing training and cold stimulation,while the experimental group was given routine swallowing training and VC acid stimulation.The results of Poda drinking test and the incidence of stroke associated pneumonia were compared between the two groups.Results The results of Watian's drinking water test after intervention in the experimental group were better than those in the conventional group,and the difference was statistically significant(P<0.05).The EAT-10 swallowing questionnaire score of the experimental group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).The levels of TNF-alpha,C-reactive protein and interleukin-6 in the experimental group were lower than those in the conventional group(P<0.05).The incidence of strokerelated pneumonia in the experimental group(8.3%)was lower than that in the conventional group(21.7%),and the difference was statistically significant(P<0.05).Conclusion The effect of early rehabilitation nursing on patients with dysphagia of stroke is significant.It can obviously improve the swallowing function of the patients and reduce the incidence of stroke related pneumonia,and can be applied in clinical practice.